Internal jugular and common femoral venous access for the removal of a long-term embedded vena cava filter

We describe an inferior vena cava filter retrieval technique requiring triple venous access performed in a 35-year-old male who was referred for filter removal 16 months after its insertion. The filter showed a right-sided tilt with endothelialization of the distal filter struts into the caval wall....

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Bibliographic Details
Published in:Diagnostic and interventional radiology (Ankara, Turkey) Turkey), 2014-07, Vol.20 (4), p.341-344
Main Authors: Salati, Umer, Govender, Pradeep, Torreggiani, William, Browne, Ronan
Format: Article
Language:English
Subjects:
Adult
Device Removal - methods
Femoral Vein - diagnostic imaging
Femoral Vein - surgery
Fluoroscopy
Humans
Interventional Radiology
Jugular Veins - diagnostic imaging
Jugular Veins - surgery
Male
Vena Cava Filters
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Summary:We describe an inferior vena cava filter retrieval technique requiring triple venous access performed in a 35-year-old male who was referred for filter removal 16 months after its insertion. The filter showed a right-sided tilt with endothelialization of the distal filter struts into the caval wall. Access was required via both internal jugular veins to straighten the filter using a snared-loop technique. Further 18 F right common femoral vein access was required to snare and remove the filter, which could not be completely collapsed distally due to endothelialized tissue, precluding normal removal via the jugular venous route.
ISSN:1305-3825
1305-3612
DOI:10.5152/dir.2014.13362